Active NPI
Palisades Medical Center
- Clinical Pathology/Laboratory Medicine Physician
- North Bergen, NJ
National Provider Identifier
1700014990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- Legal business name
- PALISADES MEDICAL CENTER
- Practice address
- 7600 River Rd
North Bergen, NJ 07047-6217 - Phone
- (201) 854-5028
- NPI assigned
- Jun 25, 2009
- Last updated
- Jul 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Calandriello
- Title
- Cfo
- Phone
- (201) 854-5028
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | NU | ||
| Maternal & Fetal Medicine Physician | 207VM0101X | NU | ||
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | NU | Primary | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | NU |
Addresses
Primary practice location
7600 River Rd
North Bergen, NJ 07047-6217
Mailing address
PO Box 3012
Wilmington, DE 19804-0012
Phone (866) 688-8613
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310428800000",
"number": "1700014990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3012",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198040012",
"telephone_number": "866-688-8613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 RIVER RD",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070476217",
"telephone_number": "201-854-5028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALISADES MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-25",
"last_updated": "2011-07-12",
"status": "A",
"authorized_official_last_name": "CALANDRIELLO",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "201-854-5028",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.